Association between Maternal Health Care and Basic Immunization Completeness in Children Aged 12–23 Months: Analysis of 2017 Indonesian Demographic and Health Survey

Authors

DOI:

https://doi.org/10.3889/oamjms.2022.8500

Keywords:

Children, Immunization, Maternal health care, Demographic health survey

Abstract

BACKGROUND: The coverage of complete basic immunization in Indonesia is still lower than the target stated in the 2015-2019 Ministry of Health Strategic Plan. It may be caused by several factors, one of the essential factors is maternal health services.

AIM: The study aims to assess the association between maternal health services and immunization completeness in Indonesian children aged 12–23 months.

METHODS: A cross-sectional design was conducted using the 2017 Indonesian Demographic Health Survey. Two-stage stratified random sampling was used to obtain representative samples from all provinces in Indonesia. The subjects of this study were mothers who had children aged 12–23 months. A total of 3,398 samples were obtained after considering the inclusion and exclusion criteria. The data were analyzed using chi-square and logistic regression.

RESULTS: The prevalence of complete immunization of Indonesian children aged 12–23 months was 61.4%. From multivariate analysis, we found that mothers who attend more than four antenatal care (ANC) (Adjusted odds ratio [AOR] 3.23 95% Confidence interval [CI] [2.31–4.52]), delivery by health-professionals (AOR 3.32 95%CI [2.26–4.88]), and attended postnatal care (PNC) (AOR 1.31 95% CI [1.07–1.59]) were predictors of complete child immunization. In addition, children whose mothers had a higher educational level and who live in Java-Bali were more likely to be completely vaccinated.

CONCLUSION: Maternal health services, which consist of ANC services, delivery by health workers, and PNC services, were associated with the completeness of basic immunization in Indonesian children aged 12–23 months. Strategies to improve immunization coverage must be carried out by increasing the continuity of maternal health services since pregnancy, childbirth, and postpartum.

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References

WHO. Vaccines and Immunization. Geneva: World Health Organization; 2018. Available from: https://www.who.int/health-topics/vaccines-and-immunization#tab=tab_1 [Last accessed 2021 Dec 24].

WHO. Immunization Coverage. Geneva: World Health Organization; 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/immunization-coverage [Last accessed 2021 Dec 28].

Indonesian Ministry of Health. The 2017 Indonesian Health Profile [Profil Kesehatan Indonesia 2017]. Jakarta: Indonesian Ministry of Health; 2018. Available from: https://www.kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf [Last accessed 2021 Dec 28].

Indonesian Ministry of Health. The Main Result of Basic Health Research 2018 [Hasil Utama RISKESDAS 2018]. Jakarta, Indonesia: Indonesian Ministry of Health; 2018. Available from: http://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/hasilriskesdas2018.pdf [Last accessed 2021 Dec 19].

Putri DS, Utami NH, Nainggolan O. Association between the sustainability utilization of maternal health care and immunization completeness in Indonesia. Indones J Reprod Health. 2016;7(2):135-44. https://doi.org/10.22435/kespro.v7i2.4966.135-144 DOI: https://doi.org/10.22435/kespro.v7i2.4966.135-144

Usman M, Anand E, Siddiqui L, Unisa S. Continuum of maternal health care services and its impact on child immunization in India: An application of the propensity score matching approach. J Biosoc Sci. 2021;53(5):643-62. https://doi.org/10.1017/S0021932020000450 PMid:32830633 DOI: https://doi.org/10.1017/S0021932020000450

National Population and Family Planning Board (BKKBN), Statistics (BPS), Ministry of Health (Kemenkes), ICF. Indonesia Demographic and Health Survey 2017. Jakarta, Indonesia: BKKBN, BPS, Kemenkes, and ICF; 2018. Available from: https://www.dhsprogram.com/pubs/pdf/FR342/FR342.pdf [Last accessed 2021 Dec 30].

Indonesian Ministry of Health. The Main Points of the Minitry of Health Strategic Plan 2020-2024 [Pokok-Pokok Renstra Kemenkes 2020-2024]. Indonesia: Indonesian Ministry of Health; 2020. Available from: https://www.e-renggar.kemkes.go.id/file2018/e-performance/1-119014-2tahunan-870.pdf [Last accessed 2021 Dec 26].

Holipah, Maharani A, Kuroda Y. Determinants of immunization status among 12-to 23-month-old children in Indonesia (2008-2013): A multilevel analysis. BMC Public Health. 2018;18(1):288. https://doi.org/10.1186/s12889-018-5193-3 PMid:29482562 DOI: https://doi.org/10.1186/s12889-018-5193-3

Budu E, Ahinkorah BO, Aboagye RG, Armah-Ansah EK, Seidu AA, Adu C, et al. Maternal healthcare utilsation and complete childhood vaccination in sub-Saharan Africa: A cross-sectional study of 29 nationally representative surveys. BMJ Open. 2021;11(5):e045992. https://doi.org/10.1136/bmjopen-2020-045992 PMid:33986059 DOI: https://doi.org/10.1136/bmjopen-2020-045992

Kumar V. Determinants of immunization coverage and associated factors among children aged under two-year-old in the national immunization program of Mewat district, Haryana (2019-2020). Texila Int J Public Health. 2021;9(1):176-96. https://doi.org/10.21522/tijph.2013.09.01.art019 DOI: https://doi.org/10.21522/TIJPH.2013.09.01.Art019

Tesema GA, Tessema ZT, Tamirat KS, Teshale AB. Complete basic childhood vaccination and associated factors among children aged 12-23 months in East Africa: A multilevel analysis of recent demographic and health surveys. BMC Public Health. 2020;20(1):1837. https://doi.org/10.1186/s12889-020-09965-y PMid:33256701 DOI: https://doi.org/10.1186/s12889-020-09965-y

Acharya P, Kismul H, Mapatano MA, Hatløy A. Individual-and community-level determinants of child immunization in the Democratic Republic of Congo: A multilevel analysis. PLoS One. 2018;13(8):e0202742. https://doi.org/10.1371/journal.pone.0202742 PMid:30138459 DOI: https://doi.org/10.1371/journal.pone.0202742

Mitkari KK, Haralkar S. A cross-sectional study of immunization coverage in children in urban slums of Western Maharashtra. Asian Pac J Health Sci. 2020;7(2):22-5. https://doi.org/10.21276/apjhs.2020.7.2.5 DOI: https://doi.org/10.21276/apjhs.2020.7.2.5

Awol M, Alemu ZA, Moges NA, Jemal K. Geographical variations and associated factors of defaulting from immunization among children aged 12 to 23 months in Ethiopia: Using spatial and multilevel analysis of 2016 Ethiopian demographic and health survey. Environ Health Prev Med. 2021;26(1):65. https://doi.org/10.1186/s12199-021-00984-8 PMid:34118886 DOI: https://doi.org/10.1186/s12199-021-00984-8

Panda BK, Kumar G, Mishra S. Understanding the full-immunization gap in districts of India: A geospatial approach. Clin Epidemiol Glob Health. 2020;8(2):536-43. https://doi.org/10.1016/j.cegh.2019.11.010 DOI: https://doi.org/10.1016/j.cegh.2019.11.010

Aalemi AK, Shahpar K, Mubarak MY. Factors influencing vaccination coverage among children age 12-23 months in Afghanistan: Analysis of the 2015 demographic and health survey. PLoS One. 2020;15(8):e0236955. https://doi.org/10.1371/journal.pone.0236955 PMid:32764770 DOI: https://doi.org/10.1371/journal.pone.0236955

Indonesian Ministry of Health. The 2020 Indonesian Health Profile [Profil Kesehatan Indonesia 2020]. Indonesia: Indonesian Ministry of Health; 2020. Available from: https://www.pusdatin.kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-profil-kesehatan.html [Last accessed 2022 Jan 19].

Indonesian Statistic Agency. Percentage of Birth Attended by Health Worker. Indonesia: Indonesian Statistic Agency; 2020. Available from: https://www.bps.go.id/indikator/indikator/view_data/0000/data/1345/sdgs_3/1 [Last accessed 2022 Jan 02].

Indonesian Statistic Agency. Complete Child Immunization. Indonesia: Indonesian Statistic Agency; 2020. Available from: https://www.bps.go.id/indikator/indikator/view_data/0000/data/1545/sdgs_1/1I [Last accessed 2022 Jan 02].

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Published

2022-02-16

How to Cite

1.
Faradita I, Sitaresmi MN, Wahab A. Association between Maternal Health Care and Basic Immunization Completeness in Children Aged 12–23 Months: Analysis of 2017 Indonesian Demographic and Health Survey. Open Access Maced J Med Sci [Internet]. 2022 Feb. 16 [cited 2024 Mar. 28];10(E):264-8. Available from: https://oamjms.eu/index.php/mjms/article/view/8500

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Public Health Disease Control

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